A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?

"Wait 30 seconds between puffs."

"The spacer should make a whistling sound as you inhale."

"Clean the spacer daily with cold water."

"Hold your breath for 10 seconds once you inhale."

Answer and Explanation

The Correct Answer is D

D. After inhaling the medication, holding the breath for about 10 seconds allows the medication to settle in the lungs and be absorbed effectively into the bloodstream. This improves the medication's effectiveness in controlling asthma symptoms.

A Waiting 30 seconds between puffs is not a standard instruction; instead, it is generally advised to wait about one minute between puffs if multiple doses are needed.

B. The whistling sound may indicate that the client is inhaling too quickly or forcefully, which can prevent the medication from reaching the lungs effectively.

C. Cleaning the spacer is also crucial, but it is typically recommended to use warm soapy water rather than cold water, and it should be left to air dry.

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Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

The nurse should plan to first administer 0.9% sodium chloride followed by Insulin

Rationale

Intravenous fluid resuscitation takes priority in the management of DKA due to the severe dehydration that occurs due to osmotic diuresis.

The next step is to administer intravenous insulin infusion as per the prescribed rate.

A. "Twist at the waist when standing from a seated position." B. "Move your stronger leg first when using a walker." C. "Use a raised toilet seat to maintain your hips above your knees." D. "Apply a heating pad to the operative hip to decrease pain."

Correct Answer is C

Explanation

C. Using a raised toilet seat helps maintain the hips above the knees, which is recommended after THA to reduce strain on the hip joint and facilitate safer toileting. Keeping the hips higher than the knees helps prevent excessive flexion of the hip joint, which can strain the surgical site.

A Twisting at the waist places stress on the hip joint and can increase the risk of dislocation, which is a significant concern after THA surgery.

B. This option does not specify the correct procedure for using a walker

D. Heat application, such as using a heating pad, is not recommended for the operative hip after THA. Heat can increase blood flow and inflammation, potentially worsening pain and swelling.

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A nurse is teaching a client who has asthma about how to use a metered-dose inhaler with a spacer. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits The nurse should plan to first administer dropdown followed by dropdown

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}

Explanation

A nurse is providing discharge teaching to a client who is postoperative following a total hip arthroplasty. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

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